Individual provider Active NPI

Steven Mark Bloom, MD

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1346224409
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26932 Issued in KY
Practice address
1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Phone
(502) 895-0040
Fax
(502) 361-4488
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 26932 KY
Ophthalmology Physician 207W00000X 26932 KY Primary

Addresses

Primary practice location

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179

Mailing address

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Phone (502) 895-0040

Other practice location 1

6905 Burlington Pike
Florence, KY 41042-1618
Phone (859) 282-9999

Other practice location 2

9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173
Phone (502) 895-0040

Other identifiers 2

IdentifierTypeStateIssuer
64269327MedicaidKY
300050485MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000722 KY Practitioner - Ophthalmology 0244329076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Pennsylvania, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1181
Phone (502) 895-0040

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
84.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Louisville,P.S.C. CurrentSince Mar 3, 1995 Accepting new patients
Eye Centers of Louisville,PSC Ophthalmology CurrentSince Mar 3, 1995 Accepting new patients

Locations

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

6400 Westwind Way
Crestwood, KY 40014
Phone (502) 243-2227

1000 Johnstown Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 769-0099

6905B Burlington Pike
Florence, KY 41042
Phone (859) 282-9666

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

9200 Leesgate Rd
Ste 100
Louisville, KY 40222
Phone (502) 895-0040

9200 Leesgate Rd
Louisville, KY 40222
Phone (502) 895-0040

4010 DuPont Cir
Ste 380
Louisville, KY 40207
Phone (502) 895-0040

1935 Bluegrass Ave
Ste 200
Louisville, KY 40215
Phone (502) 364-0033

Interoperability endpoints

  • Direct secure messaging: steve.bloom.p2@direct.johnkenyon.nextgenshare.com
  • Direct secure messaging: bennett@bennettbloomeyecenters.imwdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1346224409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-895-0040",
            "fax_number": "502-361-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-895-0040",
            "fax_number": "502-361-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Burlington Pike",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421618",
            "country_code": "US",
            "telephone_number": "859-282-9999",
            "fax_number": "859-282-9666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Leesgate Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225173",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "fax_number": "502-365-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "26932",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "26932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64269327",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050485",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.